Bridging the gap between Physical health and Mental health: The - - PowerPoint PPT Presentation

Bridging the gap between Physical health and Mental health: The

role Psychiatric Liaison Services.

Nico Kamera-Interim Operational Services Manager Psychiatric Liaison and Perinatal Services. 4th August 2015.

Aim

• Define Liaison Psychiatry.
• Mental prevalence in people.
• Why bridged gap.
• Liaison psychiatry’s role.
• Aspirations for the future.
• ?

Liaison Psychiatry.

It deals with the interface between physical and psychological health.

• Assess Pt in A&E.
• On Wards.
• OPC.

Mental health prevalence in physically unwell patients.

• Compared to the overall population, a higher proportion
• f people with a long term physical condition have

additional long term mental health problems- No Health without

Mental Health 2012.

• 1/4 of people with physical health problems develop

psychological problems.

• -2/3 of hospital beds occupied by older people, of which

60% have, or will develop, a mental health condition during their stay:-dementia, delirium, depression.

Why the gap should be bridged.

• High prevalence of mental illness in physically unwell

patients.

• Increased length of staff in acute beds if mental illness

is not treated alongside physical health.

• Increased costs of care.
• Poor compliance with treatment.
• Poor quality of life.

Liaison psychiatry’s role in bridging the gap.

SLA between Candi and UCLH.

• MDT (Psychiatrist, Mental health nurses,).
• Psychiatric Assessment.
• Psychiatric Consultation.
• Psychiatric treatment.
• Onward referral and discharge.
• Liaison with other agencies.
• Section 136.
• Teaching.

Teaching and Education.

• Mental health has parity of esteem with physical health

within the health and care system.

• Awareness of the link between physical and mental

health.

• Early recognition of patients suffering from mental

health problems.

• Stigma and discrimination.
• Management of Depression, Dementia and Delirium.

Teaching and Education: Early

recognition of patients suffering from mental health problems.

• Teaching on signs and symptoms of mental illness.
• Over half of all cases of depression in the general

hospital setting go unrecognised by physicians and nursing staff.

• Raise awareness why comorbid mental health problems

difficult to detect.

Teaching and Education: Stigma and Discrimination.

• A mark of disgrace associated with a particular

circumstance, quality, or person.

• Effect of stigma on people with mental health

condition.

• Social isolation.
• Impedes on recovery.

Recovery.

A personal process of overcoming the negative impact of a psychiatric disability despite its continued presence.

• hope,
• working on treatment and rehabilitation in collaboration with

providers.

Aspirations for the future

Expand the service to ILAT model.

• Provide more in reach working.
• To provide more education and support to acute staff.
• Increase mental health awareness to same level as

physical health.

• To contribute in provision of effective, efficient and

safe care to patients.

Thank you. Questions after the next speaker

Nico Kamera 4th August 2015